Reconstruction of Genital Perineal Area Large Wounds Using the Gracilis Musculocutaneous Island Flap

Reconstruction of the genital area is important for functional, cosmetic, and psychological reasons.Case Reports: Since 1999, nine cases of one stage reconstruction of extensive genital area wounds using gracilis musculocutaneous island flaps have been successfully carried out. All patients were male with an average age of 39. In these patients, the scrotal and perineal skins were lost as a result of either necrotizing fasciitis or trauma. All the patients had exposed testicles. The mean follow-up was 23.6 months and all flaps survived. All wounds healed without complication. Genital area wounds reconstruction with the gracilis musculocutaneous island flap gave an excellent aesthetic and functional result.